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Selected Tournament Information
Fall City Roundball Shootout
Event Type: Open Team Tournament Location: MidAmerica Sports Center
Date(s): Feb 27, 2021 - Feb 28, 2021 City, State: Louisville, Kentucky
Age/Grades: 2nd - 8th Grade Boys & Girls Entry Fee: $240
Min Games: 3 Game Guarantee - 2 Pool Games w/ All Teams Advancing to Seeded Single Elimination

Enter Team/Player Information
Team Name:
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Coach/Contact:
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Address:
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City:
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State:
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Zip Code:
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Work Phone:
Home Phone:
Cell Phone:
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Fax:
Email Address:
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Gender:
Grade:
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Comments:

Player Instructions: To add player information, click the Edit button in the first column of the grid. Once you have entered a player's information, click the Update button. Continue doing this for each player in each subsequent row. If you have more than 12 players, you can add a new row by clicking New Row at the top of the grid.
New Row  
Player Name 
Age 
Birth Date 
Grade 
Jersey # 
# 
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Medical Release / Agreement of Terms
Medical Waiver and Release of Liability

Medical Waiver and Release of Liability (This form must be signed by the parent/guardian of each player before player is eligible to participate in tournament )I, the above signed, hereby authorize any first aid, medication, medical treatment or surgery deemed necessary in case of an emergency for the above player Midwest Basketball Tournaments tournament play. I, the above signed, in consideration of the players participation in Midwest Basketball Tournaments tournament, intending to be legally bound, do hereby ourselves, executors, and administrators waive, release, and forever discharge any and all rights and claims for damages, including any claims for loss, damages or injury to our persons or property arising out of the above player's performance or failure of performance from the Midwest Basketball Tournaments, their agents, representatives, successors and assigns.

* Required

Agree To Terms - Digital Signature

As Coach/Team Representative, I certify that the information within is correct to the best of my knowledge. I understand that should a protest arise concerning the eligibility of any players participating on my team, that it will be necessary that proper documentation (i.e. Birth Certificate, Report Card) be made available verifying the player's eligibility in the age group in which that player is participating. It is understood that should one of my players be found ineligible, that the player will not be able to continue participating in the tournament. I understand that the team I represent is responsible for proof of insurance coverage.

Coach, Player, Parent, Fan Conduct: I also certify that I have read and understand Midwest Basketball Tournament's stance regarding Coach, Player, Parent and Fan Conduct under Section II - 11 of the Midwest Basketball Tournament Grade Division Rules, Registration Requirements and Game Rules and understand and acknowledge that any violation of Midwest Basketball Tournament's stance regarding Coach, Player, Parent and Fan Conduct will result in Individuals and/or the Teams expulsion from the tournament and future tournaments.
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Please Enter Representative Name:
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Roster & Tournament Entry
Mail Roster and Entry Fee (Cashiers Check or Money Order Payable) to Midwest Basketball Tournaments

Minimal charge may apply for refund request

Midwest Basketball Tournaments
1906 Watterson Trail
Louisville, KY 40299